1 / 9

William J. Bramble, Jr., Ph.D.

William J. Bramble, Jr., Ph.D. Senior Human Performance Investigator. Factors Affecting Maintenance at the Huntington Facility. Training Procedural guidance On-site supervision Continuing analysis and surveillance. Training. Heavy use of on-the-job training (OJT) Vague procedures for OJT

todd-moore
Download Presentation

William J. Bramble, Jr., Ph.D.

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. William J. Bramble, Jr., Ph.D. Senior Human Performance Investigator

  2. Factors Affecting Maintenance at the Huntington Facility • Training • Procedural guidance • On-site supervision • Continuing analysis and surveillance

  3. Training • Heavy use of on-the-job training (OJT) • Vague procedures for OJT • Noncompliance with company training policy • Inadequate record keeping

  4. Procedural Guidance Detail 6InspectionWork Card AircraftMaintenanceManual Nonspecific references Inadequate instructions Inapplicable steps Inadequate instructions

  5. On-Site Supervision • Air Midwest personnel were not usually present when maintenance was performed • Raytheon Aerospace did not provide enough foremen and inspectors • Inspectors performed some of the foreman’s duties in addition to their own

  6. Continuing Analysis and Surveillance Systems (CASS) • Air Midwest’s program had a historyof deficiencies • Program did not identify deficiencies in training and procedural guidance • Program identified a staffing deficiency, but did not correct it

  7. Federal AviationAdministration Oversight • FAA was aware of deficiencies in training and CASS program before the accident • FAA staff proposed delay of new routes to encourage change, but reconsidered • Deficiencies still existed at the time ofthe accident

  8. Programs to Reduce Human Error in Aviation Maintenance and Inspection • 15-year FAA-sponsored research program • Emphasis on development of written guidance and voluntary programs • Maintenance-related accidents continue

More Related